Learning Services is committed to providing clinically appropriate services to individuals who meet the established admission criteria.
1. Candidates appropriate for admission to a Learning Services program include those individuals with acquired or traumatic brain injury. This diagnosis includes, but is not limited to:
2. Candidates are determined to be appropriate for services based upon information obtained in a Referral Intake Process and Pre-Admission Screening. This includes medical stability, clinical appropriateness for specific program being considered, and meeting appropriate age requirements specified by state licensing regulations.
3. Candidates have viable financial support for services, which could include Worker’s Compensation, private insurance, private pay, liens, and military funding. Medicare guidelines do not include post-acute neurorehabilitation services as a covered level of care. However, several state Medicaid programs will allow limited funding for this type of rehabilitation, but it is on a state-by-state basis.
The first step in the process begins with an inquiry. This is a collaborative exchange of information aimed at determining what services are required to meet the needs of a potential candidate. The initial intake includes identifying:
The next step in the process is determining the type of financial resources the candidate might have that would cover the services that would meet the needs of the candidate, including post-acute neurorehabilitation, neurobehavioral rehabilitation, day treatment rehabilitation or supported living services. The Learning Services’ Director of Admissions has extensive experience in negotiating with insurance representatives. All funding resources are explored to determine whether funding options are viable to cover services requested. If funding is determined to be appropriate, the inquiry becomes a referral and the pre-admission screening process begins.
After or while the funding options are being determined, a member of the Learning Services team will perform an in person pre-admission screening assessment. This entails:
A report is then generated which outlines the finding of the screening and outlines the following recommendations:
All parties involved in making the final decision, including the candidate are encouraged to take a scheduled tour of the recommended program before the admission. Additional questions can be addressed with the clinical team and case manager, as well reviewing what to expect after the admission.
During the tour, the case manager will review the alignment of expectations for the rehabilitation process, which is then shared with all members of the team.